MEDICARE: PRODUCT BY QUEEN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1881539732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRODUCT BY QUEEN LLC

Provider Business Mailing Address
First Line	:	600 S CURSON AVE APT 511
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-5800
Country	:	US
Telephone Number	:	373-284-5097
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 S CURSON AVE APT 511
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-5800
Country	:	US
Telephone Number	:	373-284-5097
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. KASHIF YASIN
Credential	:
Telephone Number	:	737-284-5097

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “PRODUCT BY QUEEN LLC ” Practice Location

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